← Med Surg Exam # 6 Test
5 Written Questions
5 Matching Questions
- Hypovolemic shock
- What do you need to know when caring for a pt who was sexually assaulted
- Where do you look for resources for infection control?
- How do you take a pt off vaso active meds like...
- What are contact precautions?
- a Wean slowly
- b Careful not to cut through or disrupt tears, holes, blood stains or dirt on clothing. Put each piece of clothes in an individual paper bag. Hang wet clothes to dry. Do NOT give to familiy. Tissue specimens swabbed from the hands and nails. Photograph wounds and clothing with and without reference ruler. Document statements made by pt with quotation marks around pts own words. CHAIN OF Evidence.
- c In addition to standard precautions emphasize cautious technique and the use of barriers. Place pt in private room, facilitate han hygiene and decrease environmental contamination. No masks needed and doors can stay open.
- d Decrease in intravascular volume due to fluid loss.
- e CDC at www.cdc.gov
5 Multiple Choice Questions
- When the heart has an impaired pumping ability, impairment or failure of the myocardium. May be of coronary or non-coronary in origin.
- Remove any of the links..causative organism, reservoir of available organisms, portal or mode of exit from reservoir, mode of transmission from reservoir to host, susceptible host, mode of entry to host.
- Synovectomy (excision of the synovial membrane) Tenorrhaphy (suturing of tendon), Arthrodesis (surgical fusion of the joint), Arthroplasty (surgical repair and replacement of the joint)
- Separation of pt in a negative pressure room with door closed. Providers should wear an N-95 respirator at all times while in the room.
5 True/False Questions
Anaphylactic shock → Caused by hypersensitivity reaction, severe allergic reaction producing overwhelming systemic vasodilation and relative hypovolemia.
How do you rewarm a pt with hypothermia? → Pt must give consent to invasive procedures unless he/she is unconscious or in critical condition and unable to made decisions. If unable to consent, pts condition and all treatments and times should be well documented.
Stages of shock - what they look like - Compensatory → Bp normal, vasoconstriction, increase heart rate and increase contractility of heart contribute to maintain adequate cardiac output, stimulation of SNS and release of epi and norepinephrine (fight or flight) with associated physiological changes.
How should nurses deal with angry patients? → l
If a pt has multiple injuries, what would cause you to suspect internal bleeding? → Tachycardia, falling blood pressure, thirst, apprehension, cool and moist skin or delayed capillary refill